The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2005;69(3):772-776.
증례 : 외과적 클립의 이동으로 초래된 총담관 폐색 1예
권영우&#;허병원&#;오웅식&#;이정환&#;김해경&#;박성우&#;류성태, , , , , ,
A case of common bile duct obstruction caused by migration of surgical metal clips
Young Woo Kwon, Byung Won Hur, Woong Sik Oh, Jung Hwan Lee, Hae Kyung Kim, Sung Woo Park, Seong Tae Ryu
Department of Medicine, Sungkyunkwan University School of Medicine


Abstract
The laparoscopic cholecystectomy, which was originally developed in Europe, is now gaining wide acceptance due to a less painful surgery, a shortened hospital stay and less scarring. But the laparoscopic cholecystectomy were reported serious complications such as, gallbladder bed hemorrhage, bile duct injury, jejunal perforation and rarely dislocation and migration of the surgical clips. We report a 61-year-old man with obstructive jaundice that was generated surgical clips migration into the common bile duct, who had undergone a laparoscopic cholecystectomy because of acute calculous cholecystitis 7 months ago. Abdominal CT scan revealed multiple clips into the distal CBD and mild dilatation of intrahepatic biliary tree. The clips were removed using basket after endoscopic sphincterotomy.(Korean J Med 69:S772-S776, 2005)

Keywords :Surgical clips, Migration, Obstructive jaundice
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